Individual
DR. MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
(701) 631-9440
Mailing address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012719
CT
183500000X
Pharmacist
Primary
0202214600
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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